MEDICARE: SAMSON BERNARD NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	360013	NY

General Provider Information

NPI Number	:	1780517417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMSON BERNARD NP

Provider Business Mailing Address
First Line	:	7 BERKELEY ST
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-3316
Country	:	US
Telephone Number	:	862-205-9172
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 BERKELEY ST
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-3316
Country	:	US
Telephone Number	:	862-205-9172
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ SAMSON BERNARD NP” Practice Location

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